Extracting low-cost signals of perceived quality control in community pharmacies: a simulated client study of contraceptive dispensing in Bogotá

We determine whether community pharmacies in Bogotá produce differential quality signals, and if they are related to an objective quality measure: the compliance with prescription rules. In this quantitative descriptive study, we use the simulated client methodology (N=298) to assess whether Bogota...

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Autores principales: Tatiana Andia, César Mantilla, Álvaro Morales, Santiago Ortiz, Paul Rodriguez-Lesmes
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ES
Publicado: Universidad de Antioquia 2021
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Acceso en línea:https://doaj.org/article/0fdecbecadb24ebd8a05cf63d5c6383d
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spelling oai:doaj.org-article:0fdecbecadb24ebd8a05cf63d5c6383d2021-11-23T04:08:17ZExtracting low-cost signals of perceived quality control in community pharmacies: a simulated client study of contraceptive dispensing in Bogotá10.17533/udea.le.n96a3442430120-25962323-0622https://doaj.org/article/0fdecbecadb24ebd8a05cf63d5c6383d2021-11-01T00:00:00Zhttps://revistas.udea.edu.co/index.php/lecturasdeeconomia/article/view/344243https://doaj.org/toc/0120-2596https://doaj.org/toc/2323-0622 We determine whether community pharmacies in Bogotá produce differential quality signals, and if they are related to an objective quality measure: the compliance with prescription rules. In this quantitative descriptive study, we use the simulated client methodology (N=298) to assess whether Bogota’s community pharmacies comply with prescription rules related to contraceptive medications. Simulated clients requested a specific brand of contraceptive pills for their young sister. We find that one per cent of the staff at the pharmacy asked for a prescription when the pills were requested. Five per cent of the staff made additional questions that signal knowledge or interest in correct delivery of pills (e.g., the sister’s age or if the pills were prescribed for acne). We do not find differences by socio-economic level or type of ownership of the pharmacy (i.e., large firm versus independent) on the request of prescriptions or further questions about the pills. Concerning the aesthetic signals of quality, independent pharmacies were less likely to portray a diploma of their chemist, and the likelihood that their staff wore white coats was also lower; however, those signals are not associated with the actual quality measure. We conclude that Bogota’s community pharmacies differentiation is based on simple signals associated with a professional image, but not with actual procedures that guarantee the safety of consumers. Tatiana AndiaCésar MantillaÁlvaro MoralesSantiago OrtizPaul Rodriguez-LesmesUniversidad de Antioquiaarticlepharmaciespharmaceuticalsdrugssimulated clientcontraceptive pillsEconomic history and conditionsHC10-1085Economics as a scienceHB71-74ENESLecturas de Economía, Iss 96 (2021)
institution DOAJ
collection DOAJ
language EN
ES
topic pharmacies
pharmaceuticals
drugs
simulated client
contraceptive pills
Economic history and conditions
HC10-1085
Economics as a science
HB71-74
spellingShingle pharmacies
pharmaceuticals
drugs
simulated client
contraceptive pills
Economic history and conditions
HC10-1085
Economics as a science
HB71-74
Tatiana Andia
César Mantilla
Álvaro Morales
Santiago Ortiz
Paul Rodriguez-Lesmes
Extracting low-cost signals of perceived quality control in community pharmacies: a simulated client study of contraceptive dispensing in Bogotá
description We determine whether community pharmacies in Bogotá produce differential quality signals, and if they are related to an objective quality measure: the compliance with prescription rules. In this quantitative descriptive study, we use the simulated client methodology (N=298) to assess whether Bogota’s community pharmacies comply with prescription rules related to contraceptive medications. Simulated clients requested a specific brand of contraceptive pills for their young sister. We find that one per cent of the staff at the pharmacy asked for a prescription when the pills were requested. Five per cent of the staff made additional questions that signal knowledge or interest in correct delivery of pills (e.g., the sister’s age or if the pills were prescribed for acne). We do not find differences by socio-economic level or type of ownership of the pharmacy (i.e., large firm versus independent) on the request of prescriptions or further questions about the pills. Concerning the aesthetic signals of quality, independent pharmacies were less likely to portray a diploma of their chemist, and the likelihood that their staff wore white coats was also lower; however, those signals are not associated with the actual quality measure. We conclude that Bogota’s community pharmacies differentiation is based on simple signals associated with a professional image, but not with actual procedures that guarantee the safety of consumers.
format article
author Tatiana Andia
César Mantilla
Álvaro Morales
Santiago Ortiz
Paul Rodriguez-Lesmes
author_facet Tatiana Andia
César Mantilla
Álvaro Morales
Santiago Ortiz
Paul Rodriguez-Lesmes
author_sort Tatiana Andia
title Extracting low-cost signals of perceived quality control in community pharmacies: a simulated client study of contraceptive dispensing in Bogotá
title_short Extracting low-cost signals of perceived quality control in community pharmacies: a simulated client study of contraceptive dispensing in Bogotá
title_full Extracting low-cost signals of perceived quality control in community pharmacies: a simulated client study of contraceptive dispensing in Bogotá
title_fullStr Extracting low-cost signals of perceived quality control in community pharmacies: a simulated client study of contraceptive dispensing in Bogotá
title_full_unstemmed Extracting low-cost signals of perceived quality control in community pharmacies: a simulated client study of contraceptive dispensing in Bogotá
title_sort extracting low-cost signals of perceived quality control in community pharmacies: a simulated client study of contraceptive dispensing in bogotá
publisher Universidad de Antioquia
publishDate 2021
url https://doaj.org/article/0fdecbecadb24ebd8a05cf63d5c6383d
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